Order Medications and Write Prescriptions for Discharge Meds

• This form can be completed by an MD, PA, NP, RN, or medical student. If completed by an RN or medical student, it must be cosigned. For additional information, see the Overview of Discharge Orders, Instructions, and the Patient Care Referral Form.

• To help clinicians recall what will be seen by the patient, each field with information entered that prints on the Post-Hospital Patient Care Plan (PHPCP) is flagged with the icon. Please keep in mind that information on the PHPCP should be patient-friendly, phrased to be easily understood by people who don't have medical training.

• Changes made to discharge medication orders trigger an alert for clinicians if the Patient Discharge Medications List (PDML) has already been saved and printed. See Handling the Notifications When Medications Have Changed After PDML Print. The Order Status for patients whose PDML may require reprinting is Discharge (in red).

• Face Sheet Discharge Orders and Instructions are not available in the newborn nurseries. You cannot access the forms, even if you select a patient from the associated maternity unit lists or from patient lookup.

• If you haven't already:

1. Select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).

2. If needed, click the Medications folder to access the form.

• When available for the selected patient's care unit, the Patient Discharge Medication List (PDML) is generated automatically. If prompted, click one of the buttons at the bottom of the message to continue:

• Remind Me Later (ALT+R)—The message will be closed, and presented whenever you open the Medications folder in Discharge.

• Close and Don't Remind Me (ALT+C)—The message will be closed and never presented again.

• Reconcile pre-admission (PAML), inpatient, and discharge medication orders—Side-by-side Comparison

• Reconcile pre-admission (PAML), inpatient, and discharge medication orders—Vertical Comparison View

• Write orders for additional medications

• Provide anticoagulation therapy data

• Review Discharge Medications

• Display, save, and print  the patient discharge medication list (PDML)

• Edit Discharge Med Orders—Side-by-side or Vertical Comparison views

• Write prescriptions for medications

• Print prescriptions for all medications with the Rx column checked

• To write and print prescriptions for services, equipment, and supplies, see Writing Prescriptions for Services, Equipment, and Supplies for Discharge.

• Edit prescriptions

•  To view details of an order, click its entry, then click Zoom. To return to the order, click Close.

• To access Knowledge Link:

• Click .

• Click Exit (ALT+E) to close KnowledgeLink.

• Click Pop Out (ALT+P) to open KnowledgeLink in a separate window from the CAS.

• Toggle between Order Entry and KnowledgeLink by clicking the icons in the taskbar.

• Click to close the KnowledgeLink window.

• Complete the Face Sheet, Order Info, and Services forms if applicable. See also: Instructions for Discharge Orders and Instructions.

• Save the changes, and finalize the orders if the patient is ready for discharge:

1. Click Save.

2. Type your signing key in the field provided.

3. Click Yes or No to indicate whether the patient is ready to be discharged. If Yes, click one or more checkboxes to sign off on the discharge.

4. Click OK (ALT+O).